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Comparison of Burch colposuspension and transobturator tape when combined with abdominal sacrocolpopexy

Authors
 Yeo-Jung Moon  ;  Myung-Jae Jeon  ;  Sei-Kwang Kim  ;  Sang-Wook Bai 
Citation
 INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, Vol.112(2) : 122-125, 2011 
Journal Title
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS
ISSN
 0020-7292 
Issue Date
2011
MeSH
Aged ; Female ; Humans ; Length of Stay ; Middle Aged ; Retrospective Studies ; Suburethral Slings* ; Time Factors ; Treatment Outcome ; Urinary Incontinence, Stress/complications ; Urinary Incontinence, Stress/surgery* ; Urinary Retention/epidemiology ; Urinary Retention/etiology ; Urologic Surgical Procedures/methods* ; Uterine Prolapse/complications ; Uterine Prolapse/surgery*
Keywords
Abdominal sacrocolpopexy ; Burch colposuspension ; Pelvic organ prolapse ; Stress urinary incontinence ; Transobturator tape
Abstract
OBJECTIVE: To compare the treatment outcomes of Burch colposuspension and transobturator tape (TOT) when each is combined with abdominal sacrocolpopexy (ASC) to treat stress urinary incontinence (SUI) with pelvic organ prolapse (POP).

METHODS: Consecutive cases of Burch colposuspension and TOT combined with ASC were retrospectively reviewed. Patients with SUI and POP beyond stage III--according to the POP-quantification system--were included.

RESULTS: Mean hospital stay was longer in the Burch group (n=49) than in the TOT group (n=60) (11.3 vs 7.8 days; P<0.001), as was operation time (202.7 vs 170.1 minutes; P<0.001); furthermore, there were higher rates of urinary retention (53.1% vs 11.7%; P<0.001), de novo urgency (18.4% vs 3.3%; P=0.01), and recurrent SUI (18.4% vs 1.7%; P=0.003) in the Burch group. The cure rate was significantly higher in the TOT group than in the Burch group (98.3% vs 69.7%; P<0.001).

CONCLUSION: The use of TOT with ASC resulted in higher cure rates and better functional outcomes than did Burch colposuspension with ASC.
Full Text
http://www.sciencedirect.com/science/article/pii/S0020729210004996
DOI
10.1016/j.ijgo.2010.08.017
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Obstetrics and Gynecology (산부인과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Sei Kwang(김세광)
Bai, Sang Wook(배상욱) ORCID logo https://orcid.org/0000-0001-7724-7552
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/93120
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